Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Dawn Ellison

Individual provider Community/Behavioral Health Agency · NPI 1578422671

Crystal Dawn Ellison is a Community/Behavioral Health Agency in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

15755 Parkway Ln Apt 1
Southgate, MI 48195-4739
Phone: (313) 432-8885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (MI)

Record details

NPI number1578422671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address15755 Parkway Ln Apt 1, Southgate, MI 48195-4739

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